Eye Moistness Or Dryness

What Causes Watery Eyes Or Dry Eyes?

Watery eyes or dry eyes can have various causes, ranging in severity from 'worrying' to 'needs attention'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose watery eyes or dry eyes, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "watery eyes or dry eyes" as a symptom.  Here are eight of many possibilities:
  • Iritis
  • Sjogren's Syndrome
  • Rheumatoid Arthritis
  • Dehydration
  • Sarcoidosis
  • Dry Eye
  • Low Estrogens
  • Juvenile Rheumatoid Arthritis

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
high coffee consumption
recent onset nausea
frequent confusion/disorientation
unusual current rash
normal ANA levels
constant thirst
low energy/stamina
swollen cervical nodes
severe eyelid twitch
reduction in breast fullness
being very skinny
morning sickness
... and more than 90 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of watery eyes or dry eyes:
Cause Probability Status
Juvenile Rheumatoid Arthritis 90% Confirm
Sarcoidosis 17% Unlikely
Dehydration 13% Unlikely
Sjogren's Syndrome 4% Ruled out
Low Estrogens 1% Ruled out
Dry Eye 1% Ruled out
Iritis 0% Ruled out
Rheumatoid Arthritis 0% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

In the Eyes/Ocular Symptoms section of the questionnaire, The Analyst™ will ask the following question about eye moistness or dryness:
How moist do your eyes tend to be?
Possible responses:
→ Usually very dry, I need eye drops
→ Sometimes slightly dry
→ About average / don't know
→ Sometimes slightly too moist / watery
→ Usually watery / too moist, causing teariness
Based on your response to this question, which may indicate very dry eyes, dry eyes, watery eyes or very watery eyes, The Analyst™ will consider possibilities such as:
Rheumatoid Arthritis

"Dry eye" is a symptom of certain autoimmune diseases like rheumatoid arthritis and Sjogren's syndrome.


Red and teary eyes or blurred vision are common symptoms.

Sjogren's Syndrome

"Dry eye" is a symptom of certain autoimmune diseases like rheumatoid arthritis and Sjogren's syndrome, in which the body's immune system mistakenly attacks the tear ducts and saliva glands.

... and also rule out issues such as:
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